US8957063B2 - Amine and ether compounds which modulate the CB2 receptor - Google Patents
Amine and ether compounds which modulate the CB2 receptor Download PDFInfo
- Publication number
- US8957063B2 US8957063B2 US12/867,970 US86797009A US8957063B2 US 8957063 B2 US8957063 B2 US 8957063B2 US 86797009 A US86797009 A US 86797009A US 8957063 B2 US8957063 B2 US 8957063B2
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- Prior art keywords
- methyl
- butyl
- tert
- isoxazol
- propionamide
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Classifications
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D261/00—Heterocyclic compounds containing 1,2-oxazole or hydrogenated 1,2-oxazole rings
- C07D261/02—Heterocyclic compounds containing 1,2-oxazole or hydrogenated 1,2-oxazole rings not condensed with other rings
- C07D261/06—Heterocyclic compounds containing 1,2-oxazole or hydrogenated 1,2-oxazole rings not condensed with other rings having two or more double bonds between ring members or between ring members and non-ring members
- C07D261/10—Heterocyclic compounds containing 1,2-oxazole or hydrogenated 1,2-oxazole rings not condensed with other rings having two or more double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
- C07D261/14—Nitrogen atoms
- C07D261/16—Benzene-sulfonamido isoxazoles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
- A61P1/16—Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P11/00—Drugs for disorders of the respiratory system
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P13/00—Drugs for disorders of the urinary system
- A61P13/12—Drugs for disorders of the urinary system of the kidneys
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P19/00—Drugs for skeletal disorders
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P19/00—Drugs for skeletal disorders
- A61P19/02—Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P21/00—Drugs for disorders of the muscular or neuromuscular system
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Definitions
- the present invention relates to novel compounds which modulate the CB2 receptor and their use as medicaments.
- Cannabinoids are a group of about 60 distinct compounds found in Cannabis sativa (also know as marijuana) with cannabinol, cannabidiol and ⁇ 9 -tetrahydrocannabinol (THC) being the most representative molecules.
- THC cannabinol
- cannabidiol cannabidiol
- ⁇ 9 -tetrahydrocannabinol THC
- the therapeutic usage of Cannabis can be dated back to ancient dynasties of China and includes applications for various illnesses ranging from lack of appetite, emesis, cramps, menstrual pain, spasticity to rheumatism.
- Marinol and Cesamet which are based on THC and its analogous nabilone, respectively, are used as anti-emetic and appetite stimulant.
- CB1 and CB2 G-protein coupled receptors
- CB1 receptors regulate the release of neurotransmitters from the pre-synaptic neurons and are believed to mediate most of the euphoric and other central nervous system effects of cannabis, such as THC-induced ring-catalepsy, hypomobility, and hypothermia, which were found to be completely absent in mice with a deletion of the CB1 gene (Zimmer et al., Increased mortality, hypoactivity, and hypoalgesia in cannabinoid CB1 receptor knockout mice. Proc Natl Acad Sci USA. (1999) 96:5780-5785.)
- CB2 receptors are almost exclusively found in the immune system, with the greatest density in the spleen. It is estimated that the expression level of CB2 in the immune cells is about 10 to 100 times higher than CB1. Within the immune system, CB2 is found in various cell types, includung B cells, NK cells, monocytes, microglial cells, neutrophils, T cells, dentritic cells and mast cells, suggesting that a wide range of immune functions can be regulated through CB2 modulators (Klein et al., The cannabinoid system and immune system. J Leukoc Biol (2003) 74:486-496).
- CB2 selective ligands have been developed and tested for their effects in various imflammatory settings. For example, in animal models of inflammation, CB2 selective agonists, inverse agonists and antagonists have been shown to be effective in suppressing inflammation (Hanus et al., HU-308: a specific agonist for CB(2), a peripheral cannabinoid receptor. Proc Natl Acad Sci USA.
- CB2 receptor modulators can be employed for the treatment of medical conditions having an inflammatory component.
- CB2 agonists have been shown to inhibit pain and emesis.
- CB2 selective agonists blunt the pain response induced by thermal or other stimuli (Malan et al., CB2 cannabinoid receptor-mediated peripheral antinociception. Pain. (2001) 93:239-45 and Nackley et al., Selective activation of cannabinoid CB(2) receptors suppresses spinal fos protein expression and pain behavior in a rat model of inflammation.
- CB2 activation has also been demonstrated to inhibit neuropathic pain response (Ibrahim et al., Activation of CB2 cannabinoid receptors by AM1241 inhibits experimental neuropathic pain: pain inhibition by receptors not present in the CNS. Proc Natl Acad Sci USA. (2003) 100:10529-33.)
- a recent article demonstrated the expression of CB2 in the brain, at about 1.5% of the level in the spleen.
- CB2 activation is shown by this article to be responsible for the anti-emetic effect of endocannabinoid (Van Sickle et al., Identification and functional characterization of brainstem cannabinoid CB2 receptors. Science. 2005 310:329-332.)
- the foregoing results confirm that CB2 agonists can be used for the treatment of inflammatory and neuropathic pain as well as emesis.
- the present invention provides novel compounds which bind to and modulate the CB2 receptor.
- the invention also provides a method and pharmaceutical compositions for treating inflammation by way of the administration of therapeutic amounts of these compounds.
- the invention provides a method and pharmaceutical compositions for treating pain by way of the administration of therapeutic amounts of the new compounds which are CB2 agonists.
- R 1 is hydrogen, C 1-10 alkyl or C 3-10 cycloalkyl, each optionally halogenated or substituted with 1-3 C 1-10 alkyl optionally halogenated;
- R 2 is C 1-10 alkyl, C 3-10 cycloalkyl, arylsulfonyl, arylcarbonyl, C 1-10 acyl, C 3-10 cycloalkylcarbonyl, heterocyclylcarbonyl, heteroarylcarbonyl, heterocyclyl, benzyl, phenethyl, aryl or heteroaryl each optionally independently substituted with 1 to 3 substituents chosen from C 1-6 alkyl, C 3-10 cycloalkyl, C 1-6 alkoxy, C 1-6 alkylthio, C 1-6 alkylsulfonyl, C 1-6 alkoxycarbonyl, C 1-6 alkylamino, C 3-6 cycloalkylamino, C 1-6 dialkylamino, C 1-6 alkylamin
- the invention provides compounds of the formula I wherein,
- R 1 is hydrogen, C 1-6 alkyl or C 3-7 cycloalkyl, each optionally halogenated or substituted with 1-3 C 1-6 alkyl optionally halogenated;
- R 2 is thiomorpholinylcarbonyl, 1,1-dioxo-1 ⁇ 6 -thiomorpholinylcarbonyl, morpholinylcarbonyl, phenylsulfonyl, phenylcarbonyl, phenyl, pyridinyl, pyrimidinyl or thiazolyl, each optionally independently substituted with 1 to 3 substituents chosen from C 1-5 alkyl, C 1-5 cycloalkyl, C 1-5 alkoxy, C 1-5 alkylthio, C 1-5 alkylsulfonyl, C 1-5 alkoxycarbonyl, C 1-5 alkylamino, C 3-6 cycloalkylamino, C 1-5 dialkylamino, C 1-5 alkylaminocarbonyl, C 1-5 acylamino, C 1-5 dialkylaminocarbonyl, hydroxyl, halogen, cyano, nitro, each R 2 substituent where possible is optionally halogenated or
- the invention provides compounds of the formula I wherein,
- R 1 is hydrogen, C 1-6 alkyl or C 3-7 cycloalkyl, each optionally halogenated or substituted with 1-3 C 1-6 alkyl optionally halogenated;
- R 2 is C 1-6 alkyl, C 3-7 cycloalkyl, 1,1-dioxo-1 ⁇ 6 -thiomorpholinylcarbonyl, phenylsulfonyl, tetrahydropyranyl, tetrahydrofuranyl, pyrrolidinyl or piperidinyl, each optionally independently substituted with 1 to 3 substituents chosen from C 1-5 alkyl, C 1-5 cycloalkyl, C 1-5 alkoxy, C 1-5 alkylthio, C 1-5 alkylsulfonyl, C 1-5 alkoxycarbonyl, C 1-5 alkylamino, C 3-6 cycloalkylamino, C 1-5 dialkylamino, C 1-5 alkylaminocarbonyl, C 1-5 acylamino, C 1-5 dialkylaminocarbonyl, hydroxyl, halogen, cyano, nitro, oxo, phenyl and heterocyclyl chosen from
- each R 2 substituent where possible is optionally halogenated or substituted with 1 to 3 C 1-5 alkyl, C 1-5 acyl, methyl sulfone, cyano, phenyl, oxo or hydroxyl;
- R 1 and R 2 together with the nitrogen atom to which they are attached form a ring chosen from tetrahydropyranyl, dioxanyl, tetrahydrofuranyl, thiomorpholinyl, 1,1-dioxo-1 ⁇ 6 -thiomorpholinyl, morpholinyl, pyrrolidinyl, piperidinyl, piperazinyl, azetidinyl, benzimidazolyl, pyrazolyl, imidazolyl, triazinyl, indazolyl, indolyl, indolinyl, isoindolyl, isoindolinyl, and 2-aza-spiro[4.5]dec-2-yl, 1-aza-spiro[4.5]dec-1-yl, 1-aza-spiro[4.4]non-1-yl, 2-aza-spiro[4.4]non-2-yl, 2-aza-spiro[5.5]undec-2-yl,
- the invention provides compounds of the formula I wherein,
- R 1 is hydrogen or C 1-3 alkyl optionally halogenated
- R 2 is C 1-6 alkyl or C 3-7 cycloalkyl optionally independently substituted with 1 to 3 halogen, one C 3-7 cycloalkyl or one heterocyclyl chosen from tetrahydropyranyl, dioxanyl, tetrahydrofuranyl, thiomorpholinyl, 1,1-dioxo-1 ⁇ 6 -thiomorpholinyl, morpholinyl, pyrrolidinyl, piperidinyl, piperazinyl, optionally halogenated or substituted with C 1-4 alkyl; or R 1 and R 2 together with the nitrogen atom to which they are attached form a ring chosen from thiomorpholinyl, 1,1-dioxo-1 ⁇ 6 -thiomorpholinyl, morpholinyl, pyrrolidinyl, piperidinyl, azetidinyl, indolyl, indolinyl, isoindolyl, isoindoliny
- R 5 is pyridinyl, pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, triazolyl, oxadiazolyl or thiadiazolyl, each substituted with 1 to 3 substituents chosen from C 1-6 alkyl, C 1-6 alkoxy, C 3-6 cycloalkyl, phenoxy, halogen, cyano, dimethylaminoC 1-4 alkyl, phenyl thienyl and pyridinyl, each substituent on R 5 is optionally halogenated or substituted with 1 to 3 C 1-4 alkyl optionally halogenated.
- the invention provides compounds of the formula I wherein,
- R 3 and R 4 are each methyl
- R 5 is pyridinyl, pyrazolyl, triazolyl, isoxazolyl, thiadiazolyl, oxadiazoyl or thiazolyl each substituted with 1 to 2 substituents chosen from, methyl, ethyl, iso-propyl, tert-butyl, iso-butyl, neopentyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, trifluoromethyl or phenyl which is optionally substituted with a chlorine atom.
- the invention provides compounds of the formula I wherein,
- R 2 is methyl optionally substituted with one heterocyclyl chosen from tetrahydropyranyl, dioxanyl, tetrahydrofuranyl, thiomorpholinyl, 1,1-dioxo-1 ⁇ 6 -thiomorpholinyl, morpholinyl, pyrrolidinyl, piperidinyl, piperazinyl, optionally halogenated or substituted with C 1-4 alkyl or methyl sulfonyl; or R 1 and R 2 together with the nitrogen atom to which they are attached form a ring chosen from thiomorpholinyl, 1,1-dioxo-1 ⁇ 6 -thiomorpholinyl, morpholinyl, pyrrolidinyl, piperidinyl, azetidinyl, indolyl and 2-aza-spiro[4.5]dec-2-yl each optionally substituted with 1 to 3 C 1-3 alkyl, C 1-3 alkoxy and halogen each
- the invention provides compounds of the formula I wherein,
- R 1 and R 2 together with the nitrogen atom to which they are attached form a ring chosen from thiomorpholinyl, 1,1-dioxo-1 ⁇ 6 -thiomorpholinyl, morpholinyl, pyrrolidinyl, piperidinyl, azetidinyl, indolyl and 2-aza-spiro[4.5]dec-2-yl each optionally substituted with 1 to 3 C 1-3 alkyl, C 1-3 alkoxy and halogen each ring substituent being further optionally halogenated where possible.
- R 2 is C 1-10 alkyl, C 3-10 cycloalkyl, heterocyclyl, benzyl, phenethyl, aryl or heteroaryl each optionally independently substituted with 1 to 3 substituents chosen from C 1-6 alkyl, C 3-10 cycloalkyl, C 1-6 alkoxy, C 1-6 alkylthio, C 1-6 alkylsulfonyl, C 1-6 alkoxycarbonyl, C 1-6 alkylamino, C 3-6 cycloalkylamino, C 1-6 dialkylamino, C 1-6 alkylaminocarbonyl, C 1-6 acylamino, C 1-6 dialkylaminocarbonyl, hydroxyl, halogen, cyano, nitro, oxo, heterocyclyl, aryl and heteroaryl, each substituent on R 2 where possible is optionally halogenated or substituted with 1 to 3 C 1-6 alkyl, C 1-6 acyl, C 1-6 alkyl
- the invention provides compounds of the formula II wherein,
- R 2 is phenyl, pyridyl, pyrimidyl or thiazoyl, each optionally independently substituted with 1 to 3 substituents chosen from C 1-5 alkyl, C 1-5 cycloalkyl, C 1-5 alkoxy, C 1-5 alkylthio, C 1-5 alkylsulfonyl, C 1-5 alkoxycarbonyl, C 1-5 alkylamino, C 3-6 cycloalkylamino, C 1-5 dialkylamino, C 1-5 alkylaminocarbonyl, C 1-5 acylamino, C 1-5 dialkylaminocarbonyl, hydroxyl, halogen, cyano, nitro; each R 2 substituent where possible is optionally halogenated or substituted with 1 to 3 C 1-5 alkyl, C 1-5 acyl, C 1-6 alkyl sulfonyl, cyano, phenyl, oxo or hydroxyl; R 3 and R 4 each methyl or
- the invention provides compounds of the formula II wherein,
- R 2 is C 1-6 alkyl, C 3-7 cycloalkyl, tetrahydropyranyl, tetrahydrofuranyl, pyrrolidinyl or piperidinyl, each optionally independently substituted with 1 to 3 substituents chosen from C 1-5 alkyl, C 1-5 cycloalkyl, C 1-5 alkoxy, C 1-5 alkylthio, C 1-5 alkylsulfonyl, C 1-5 alkoxycarbonyl, C 1-5 alkylamino, C 3-6 cycloalkylamino, C 1-5 dialkylamino, C 1-5 alkylaminocarbonyl, C 1-5 acylamino, C 1-5 dialkylaminocarbonyl, hydroxyl, halogen, cyano, nitro, oxo, phenyl and heterocyclyl chosen from tetrahydropyranyl, dioxanyl, tetrahydrofuranyl, thiomorpholinyl, 1,
- the invention provides compounds of the formula II wherein,
- R 2 is C 1-6 alkyl or C 3-7 cycloalkyl optionally independently substituted with 1 to 3 halogen, C 3-7 cycloalkyl or one heterocyclyl chosen from tetrahydropyranyl, dioxanyl, tetrahydrofuranyl, thiomorpholinyl, 1,1-dioxo-1 ⁇ 6 -thiomorpholinyl, morpholinyl, pyrrolidinyl, piperidinyl, piperazinyl, optionally halogenated or substituted with C 1-4 alkyl; R 3 and R 4 each methyl or ethyl, or R 3 and R 4 together with the carbon atom to which they are attached form a cyclopropyl or cyclobutyl ring; R 5 is pyridinyl, pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, triazo
- the invention provides compounds of the formula II wherein,
- R 2 is methyl optionally substituted with one heterocyclyl chosen from tetrahydropyranyl, dioxanyl, tetrahydrofuranyl, thiomorpholinyl, 1,1-dioxo-1 ⁇ 6 -thiomorpholinyl, morpholinyl, pyrrolidinyl, piperidinyl, piperazinyl, indazolyl optionally halogenated or substituted with C 1-4 alkyl;
- R 3 and R 4 are each methyl;
- R 5 is pyridinyl, pyrazolyl, triazolyl, isoxazolyl, thiadiazolyl, oxadiazoyl or thiazolyl each substituted with 1 to 2 substituents chosen from, methyl, ethyl, iso-propyl, tert-butyl, iso-butyl, neopentyl, cyclopropyl, cyclobutyl, cyclopentyl
- the invention provides compounds of the formula II wherein,
- R 5 is pyridinyl, triazolyl or isoxazolyl, each substituted with 1 to 2 substituents chosen from methyl, ethyl, tert-butyl, neopentyl, cyclohexyl, trifluoromethyl and phenyl which is optionally substituted with a chlorine atom.
- the invention provides compounds of the formula III:
- the invention provides compounds in Table II which can be made in view of the general schemes, examples and methods known in the art.
- the invention also relates to pharmaceutical preparations, containing as active substance one or more compounds of the invention, or the pharmaceutically acceptable derivatives thereof, optionally combined with conventional excipients and/or carriers.
- Compounds of the invention also include their isotopically-labelled forms.
- An isotopically-labelled form of an active agent of a combination of the present invention is identical to said active agent but for the fact that one or more atoms of said active agent have been replaced by an atom or atoms having an atomic mass or mass number different from the atomic mass or mass number of said atom which is usually found in nature.
- isotopes which are readily available commercially and which can be incorporated into an active agent of a combination of the present invention in accordance with well established procedures, include isotopes of hydrogen, carbon, nitrogen, oxygen, phosphorous, fluorine and chlorine, e.g., 2 H, 3 H, 13 C, 14 C, 15 N, 18 O, 17 O, 31 P, 32 P, 35 S, 18 F, and 36 Cl, respectively.
- An active agent of a combination of the present invention, a prodrug thereof, or a pharmaceutically acceptable salt of either which contains one or more of the above-mentioned isotopes and/or other isotopes of other atoms is contemplated to be within the scope of the present invention.
- the invention includes the use of any compounds of described above containing one or more asymmetric carbon atoms may occur as racemates and racemic mixtures, single enantiomers, diastereomeric mixtures and individual diastereomers. Isomers shall be defined as being enantiomers and diastereomers. All such isomeric forms of these compounds are expressly included in the present invention.
- Each stereogenic carbon may be in the R or S configuration, or a combination of configurations.
- Some of the compounds of the invention can exist in more than one tautomeric form.
- the invention includes methods using all such tautomers.
- C 1-4 alkoxy is a C 1-4 alkyl with a terminal oxygen, such as methoxy, ethoxy, propoxy, butoxy.
- All alkyl, alkenyl and alkynyl groups shall be understood as being branched or unbranched where structurally possible and unless otherwise specified. Other more specific definitions are as follows:
- Carbocycles include hydrocarbon rings containing from three to twelve carbon atoms. These carbocycles may be either aromatic or non-aromatic ring systems. The non-aromatic ring systems may be mono- or polyunsaturated. Preferred carbocycles include but are not limited to cyclopropyl, cyclobutyl, cyclopentyl, cyclopentenyl, cyclohexyl, cyclohexenyl, cycloheptanyl, cycloheptenyl, phenyl, indanyl, indenyl, benzocyclobutanyl, dihydronaphthyl, tetrahydronaphthyl, naphthyl, decahydronaphthyl, benzocycloheptanyl and benzocycloheptenyl. Certain terms for cycloalkyl such as cyclobutanyl and cyclobutyl shall be used interchangeably.
- heterocycle refers to a stable nonaromatic 4-8 membered (but preferably, 5 or 6 membered) monocyclic or nonaromatic 8-11 membered bicyclic or spirocyclic heterocycle radical which may be either saturated or unsaturated.
- Each heterocycle consists of carbon atoms and one or more, preferably from 1 to 4 heteroatoms chosen from nitrogen, oxygen and sulfur.
- the heterocycle may be attached by any atom of the cycle, which results in the creation of a stable structure.
- heteroaryl shall be understood to mean an aromatic 5-8 membered monocyclic or 8-11 membered bicyclic ring containing 1-4 heteroatoms such as N, O and S.
- heterocycles and heteroaryl include but are not limited to, for example azetidinyl, furanyl, pyranyl, benzoxazolyl, benzothiazolyl, benzimidazolyl, tetrahydropyranyl, dioxanyl, tetrahydrofuranyl, oxazolyl, isoxazolyl, oxadiazolyl, thiazolyl, isothiazolyl, pyrazolyl, pyrrolyl, imidazolyl, triazolyl, thienyl, thiadiazolyl, thiomorpholinyl, 1,1-dioxo-1 ⁇ 6 -thiomorpholinyl, morpholinyl, pyridinyl, pyrimidinyl, pyridazinyl, pyrazinyl, triazinyl, pyrrolidinyl, piperidinyl, piperazinyl, purinyl, quin
- heteroatom as used herein shall be understood to mean atoms other than carbon such as O, N, S and P.
- one or more carbon atoms can be optionally replaced by heteroatoms: O, S or N, it shall be understood that if N is not substituted then it is NH, it shall also be understood that the heteroatoms may replace either terminal carbon atoms or internal carbon atoms within a branched or unbranched carbon chain.
- Such groups can be substituted as herein above described by groups such as oxo to result in definitions such as but not limited to: alkoxycarbonyl, acyl, amido and thioxo.
- aryl as used herein shall be understood to mean aromatic carbocycle or heteroaryl as defined herein.
- Each aryl or heteroaryl unless otherwise specified includes it's partially or fully hydrogenated derivative.
- quinolinyl may include decahydroquinolinyl and tetrahydroquinolinyl
- naphthyl may include its hydrogenated derivatives such as tetrahydranaphthyl.
- Other partially or fully hydrogenated derivatives of the aryl and heteroaryl compounds described herein will be apparent to one of ordinary skill in the art.
- nitrogen and “sulfur” include any oxidized form of nitrogen and sulfur and the quaternized form of any basic nitrogen.
- nitrogen and “sulfur” include any oxidized form of nitrogen and sulfur and the quaternized form of any basic nitrogen.
- —S—C 1-6 alkyl radical unless otherwise specified, this shall be understood to include —S(O)—C 1-6 alkyl and —S(O) 2 —C 1-6 alkyl.
- alkyl refers to a saturated aliphatic radical containing from one to ten carbon atoms or a mono- or polyunsaturated aliphatic hydrocarbon radical containing from two to twelve carbon atoms. The mono- or polyunsaturated aliphatic hydrocarbon radical containing at least one double or triple bond, respectively.
- Alkyl refers to both branched and unbranched alkyl groups. It should be understood that any combination term using an “alk” or “alkyl” prefix refers to analogs according to the above definition of “alkyl”. For example, terms such as “alkoxy”, “alkylhio” refer to alkyl groups linked to a second group via an oxygen or sulfur atom. “Alkanoyl” refers to an alkyl group linked to a carbonyl group (C ⁇ O).
- halogen as used in the present specification shall be understood to mean bromine, chlorine, fluorine or iodine, preferably fluorine.
- alkyl a nonlimiting example would be —CH 2 CHF 2 , —CF 3 etc.
- the compounds of the invention are only those which are contemplated to be ‘chemically stable’ as will be appreciated by those skilled in the art.
- a compound which would have a ‘dangling valency’, or a ‘carbanion’ are not compounds contemplated by the inventive methods disclosed herein.
- the invention includes pharmaceutically acceptable derivatives of compounds of formula (I).
- a “pharmaceutically acceptable derivative” refers to any pharmaceutically acceptable salt or ester, or any other compound which, upon administration to a patient, is capable of providing (directly or indirectly) a compound useful for the invention, or a pharmacologically active metabolite or pharmacologically active residue thereof.
- a pharmacologically active metabolite shall be understood to mean any compound of the invention capable of being metabolized enzymatically or chemically. This includes, for example, hydroxylated or oxidized derivative compounds of the invention.
- Pharmaceutically acceptable salts include those derived from pharmaceutically acceptable inorganic and organic acids and bases.
- suitable acids include hydrochloric, hydrobromic, sulfuric, nitric, perchloric, fumaric, maleic, phosphoric, glycolic, lactic, salicylic, succinic, toluene-p-sulfuric, tartaric, acetic, citric, methanesulfonic, formic, benzoic, malonic, naphthalene-2-sulfuric and benzenesulfonic acids.
- Other acids such as oxalic acid, while not themselves pharmaceutically acceptable, may be employed in the preparation of salts useful as intermediates in obtaining the compounds and their pharmaceutically acceptable acid addition salts.
- Salts derived from appropriate bases include alkali metal (e.g., sodium), alkaline earth metal (e.g., magnesium), ammonium and N—(C 1 -C 4 alkyl) 4 + salts.
- prodrugs of compounds of the invention include those compounds that, upon simple chemical transformation, are modified to produce compounds of the invention. Simple chemical transformations include hydrolysis, oxidation and reduction. Specifically, when a prodrug is administered to a patient, the prodrug may be transformed into a compound disclosed hereinabove, thereby imparting the desired pharmacological effect.
- the compounds of formula I may be made using the general synthetic methods described below, which also constitute part of the invention.
- the invention also provides processes for making compounds of Formula (I) and Formula (II).
- Formula (III) can be made by the same schemes.
- R 1 , R 2 , R 3 , R 4 and R 5 in the Formulas below shall have the meaning of R 1 , R 2 , R 3 , R 4 and R 5 in Formula (I), Formula (II) and Formula (III) of the invention described herein above.
- Optimum reaction conditions and reaction times may vary depending on the particular reactants used. Unless otherwise specified, solvents, temperatures, pressures, and other reaction conditions may be readily selected by one of ordinary skill in the art. Specific procedures are provided in the Synthetic Examples section.
- reaction progress may be monitored by thin layer chromatography (TLC), if desired, and intermediates and products may be purified by chromatography on silica gel and/or by recrystallization.
- TLC thin layer chromatography
- intermediates and products may be purified by chromatography on silica gel and/or by recrystallization.
- a suitable base such as potassium hydroxide
- Reaction of this acid with reagents such as thionyl chloride or oxalyl chloride gives the corresponding acid chloride.
- the acid obtained above may also be coupled with the corresponding amine R 5 NH 2 (VII), under standard coupling conditions, to provide a compound of Formula (II).
- Standard peptide coupling reactions known in the art see for example M. Bodanszky, 1984, The Practice of Peptide Synthesis, Springer-Verlag) may be employed in these syntheses.
- An example of suitable coupling conditions is treatment of a solution of the carboxylic acid in a suitable solvent such as DMF with EDC, HOBT, and a base such as diisopropylethylamine, followed by the desired amine.
- reaction of an amine R 5 NH 2 (VII) with a bromo acid of Formula (VIII) under conditions outlined in Scheme 1, provides an amide of Formula (IX).
- Reaction of the amide of Formula (IX) with a hydroxyl compound R 2 OH (IV), in a suitable solvent, in the presence of a suitable base such as sodium hydride, provides a compound of Formula (II).
- reaction of an amine R 5 NH 2 (VII) with a bromo acid of Formula (VIII) under conditions outlined in Scheme 1, provides an amide of Formula (IX).
- Reaction of the amide of Formula (IX) with an amine R 1 R 2 NH(X), in a suitable solvent such as tetrahydrofuran, acetonitrile/water, dichloroethane, in the presence of a suitable base such as sodium hydride, cesium carbonate, N-methylmorpholine provides a compound of Formula (I).
- Step 1 Synthesis of 2-(4-chloro-phenoxy)-2-methyl-propionic acid ethyl ester
- Step 3 Amide Bond Formation: Synthesis of N-(5-tert-butyl-isoxazol-3-yl)-2-(4-chloro-phenoxy)-2-methyl-propionamide (Example 1 in Table 2)
- Step 2 Synthesis of N-(3-tert-Butyl-isoxazol-5-yl)-2-methyl-2-(tetrahydro-pyran-4-ylmethoxy)-propionamide (Example 1 in Table 2)
- Step 2 Synthesis of 2-butylamino-N-(5-tert-butyl-isoxazol-3-yl)-2-methyl-propionamide (Example 17 in Table 4)
- the crude product is purified by mass-triggered preparative HPLC.
- the purified compound is dissolved in DCM and free-based with Ambersep 900-OH resin over 2 h. After this time, the suspension is filtered and the filtrate is concentrated under reduced pressure to provide the title compound (35.4 mg, 37%).
- Examples listed in Table 5, method C are prepared according to a similar procedure, with the following modifications noted:
- the reaction is performed at 80° C. and the purification step is achieved by chromatography on silica using DCM as the eluent.
- the product is free-based using 1M aqueous NaOH solution after HPLC purification.
- the purification step is achieved by chromatography on silica using heptanes and 20% DCM as the eluent.
- the reaction is heated to 50° C. until complete conversion.
- the purification is performed by chromatography on silica using heptanes and 0-50% ethyl acetate as the eluent.
- Example 41-42 and 47 are purified by column chromatography (silica, eluent: heptanes, 0-50% ethyl acetate), followed by mass-triggered LC (neutral condidtions).
- the hydrochloride salt of examples 40, 43, 45 and 46 is formed by trituration with 1M HCl solution in ether.
- the acidic aqueous extract is basified with 5M aqueous NaOH solution and extracted with DCM (3 ⁇ 100 mL). The combined organic extracts are dried over Na 2 SO 4 , filtered and the filtrate is concentrated under reduced pressure to give N-(3-tert-butyl-isoxazol-5-yl)-2-methyl-2-(tetrahydro-pyran-4-ylamino)-propionamide (0.89 g, 42%). m/z 310 [M+H + ]. Conversion into its hydrochloride salt is achieved upon treatment with 1M HCl solution in diethyl ether (2.89 mL).
- N-(3-tert-butyl-isoxazol-5-yl)-2-methylamino-propionamide 36 mg, 0.15 mmol
- dichloroethane 1 mL
- N-methylmorpholine 82 ⁇ L, 0.75 mmol
- 4-chlorobenzenesulfonyl chloride 63 mg, 0.30 mmol
- CB2 membranes were purchased and made from HEK293 EBNA cells stably transfected with human CB2 receptor cDNA (Perkin Elmer Life and Analytical Sciences).
- CB1 membranes were isolated from HEK cells stably co-transfected with human CB1 receptor and Gcc16 cDNA's.
- the membrane preparation was bound to scintillation beads (Ysi-Poly-L-lysine SPA beads, GE Healthcare) for 4 hours at room temperature in assay buffer containing 50 mM Tris, pH 7.5, 2.5 mM EDTA, 5 mM MgCl 2 , 0.8% fatty acid free Bovine Serum Albumin. Unbound membrane was removed by washing in assay buffer.
- Membrane-bead mixture was added to 96-well assay plates in the amounts of 15 ug membrane per well (CB2) or 2.5 ug per well (CB1) and 1 mg SPA bead per well.
- Compounds were added to the membrane-bead mixture in dose-response concentrations ranging from 1 ⁇ 10 ⁇ 5 M to 1 ⁇ 10 ⁇ 10 M with 0.25% DMSO, final.
- the competition reaction was initiated with the addition of 3 H-CP55940 (Perkin Elmer Life and Analytical Sciences) at a final concentration of 1.5 nM (CB2) or 2.5 nM (CB1). The reaction was incubated at room temperature for 18 hours and read on TopCount NXT plate reader.
- CHO cells expressing human CB2R (Euroscreen) were plated at a density of 5000 cells per well in 384 well plates and incubated overnight at 37° C. After removing the media, the cells were treated with test compounds diluted in stimulation buffer containing 1 mM IBMX, 0.25% BSA and 10 uM Forskolin. The assay was incubated for 30 minutes at 37° C. Cells were lysed and the cAMP concentration was measured using DiscoverX-XS cAMP kit, following the manufacturer's protocol. In this setting, agonists will decrease forskolin induced production of cAMP while inverse agonists will further increase forskolin induced production of cAMP. EC50 of agonists were calculated as follows.
- the maximal amount of cAMP produced by forskolin compared to the level of cAMP inhibited by 1 uM CP55940 is defined as 100%.
- the EC50 value of each test compound was determined as the concentration at which 50% of the forskolin-stimulated cAMP synthesis was inhibited. Data was analyzed using a four-parameter logistic model. (Model 205 of XLfit 4.0).
- CHO cells expressing human CB1R (Euroscreen) were plated at a density of 5000 cells per well in 384 well plates and incubated overnight at 37° C. After removing the media, the cells were treated with test compounds diluted in stimulation buffer containing 1 mM IBMX, 0.25% BSA and 10 uM Forskolin. The assay was incubated for 30 minutes at 37° C. Cells were lysed and the cAMP concentration was measured using DiscoverX-XS cAMP kit, following the manufacturer's protocol. In this setting, agonists will decrease forskolin induced production of cAMP while inverse agonists will further increase forskolin induced production of cAMP. EC50 of agonists were calculated as follows.
- the maximal amount of cAMP produced by forskolin compared to the level of cAMP inhibited by 1 uM CP55940 is defined as 100%.
- the EC50 value of each test compound was determined as the concentration at which 50% of the forskolin-stimulated cAMP synthesis was inhibited. Data was analyzed using a four-parameter logistic model. (Model 205 of XLfit 4.0).
- the compounds of the invention are useful in modulating the CB2 receptor function.
- these compounds have therapeutic use in treating disease-states and conditions mediated by the CB2 receptor function or that would benefit from modulation of the CB2 receptor function.
- the compounds of the invention modulate the CB2 receptor function, they have very useful anti-inflammatory and immune-suppressive activity and they can be used in patients as drugs, particularly in the form of pharmaceutical compositions as set forth below, for the treatment of disease-states and conditions.
- those compounds which are CB2 agonists can also be employed for the treatment of pain.
- the agonist compounds according to the invention can be used in patients as drugs for the treatment of the following disease-states or indications that are accompanied by inflammatory processes:
- septic shock e.g. as antihypovolemic and/or antihypotensive agents, cancer, sepsis, osteoporosis, benign prostatic hyperplasia and hyperactive bladder, pruritis, vitiligo, general gastrointestinal disorders, disturbances of visceral motility at respiratory, genitourinary, gastrointestinal or vascular regions, wounds, burns, tissue damage and postoperative fever, syndromes associated with itching.
- these compounds are also useful for veterinary treatment of companion animals, exotic animals and farm animals, including mammals, rodents, and the like.
- a therapeutically effective dose will generally be in the range from about 0.01 mg to about 100 mg/kg of body weight per dosage of a compound of the invention; preferably, from about 0.1 mg to about 20 mg/kg of body weight per dosage.
- the dosage range would be from about 0.7 mg to about 7000 mg per dosage of a compound of the invention, preferably from about 7.0 mg to about 1400 mg per dosage.
- Some degree of routine dose optimization may be required to determine an optimal dosing level and pattern.
- the active ingredient may be administered from 1 to 6 times a day.
- the compounds of the invention are typically administered in the form of a pharmaceutical composition.
- Such compositions can be prepared using procedures well known in the pharmaceutical art and comprise at least one compound of the invention.
- the compounds of the invention may also be administered alone or in combination with adjuvants that enhance stability of the compounds of the invention, facilitate administration of pharmaceutical compositions containing them in certain embodiments, provide increased dissolution or dispersion, increased inhibitory activity, provide adjunct therapy, and the like.
- the compounds according to the invention may be used on their own or in conjunction with other active substances according to the invention, optionally also in conjunction with other pharmacologically active substances.
- the compounds of this invention are administered in a therapeutically or pharmaceutically effective amount, but may be administered in lower amounts for diagnostic or other purposes.
- Administration of the compounds of the invention, in pure form or in an appropriate pharmaceutical composition can be carried out using any of the accepted modes of administration of pharmaceutical compositions.
- administration can be, for example, orally, buccally (e.g., sublingually), nasally, parenterally, topically, transdermally, vaginally, or rectally, in the form of solid, semi-solid, lyophilized powder, or liquid dosage forms, such as, for example, tablets, suppositories, pills, soft elastic and hard gelatin capsules, powders, solutions, suspensions, or aerosols, or the like, preferably in unit dosage forms suitable for simple administration of precise dosages.
- the pharmaceutical compositions will generally include a conventional pharmaceutical carrier or excipient and a compound of the invention as the/an active agent, and, in addition, may include other medicinal agents, pharmaceutical agents, carriers, adjuvants, diluents, vehicles, or combinations thereof.
- Such pharmaceutically acceptable excipients, carriers, or additives as well as methods of making pharmaceutical compositions for various modes or administration are well-known to those of skill in the art. The state of the art is evidenced, e.g., by Remington: The Science and Practice of Pharmacy, 20th Edition, A.
- the forms of the compounds of the invention utilized in a particular pharmaceutical formulation will be selected (e.g., salts) that possess suitable physical characteristics (e.g., water solubility) that is required for the formulation to be efficacious.
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Abstract
Description
R1 is hydrogen, C1-10 alkyl or C3-10 cycloalkyl, each optionally halogenated or substituted with 1-3 C1-10 alkyl optionally halogenated;
R2 is C1-10 alkyl, C3-10 cycloalkyl, arylsulfonyl, arylcarbonyl, C1-10 acyl, C3-10 cycloalkylcarbonyl, heterocyclylcarbonyl, heteroarylcarbonyl, heterocyclyl, benzyl, phenethyl, aryl or heteroaryl each optionally independently substituted with 1 to 3 substituents chosen from C1-6 alkyl, C3-10 cycloalkyl, C1-6 alkoxy, C1-6 alkylthio, C1-6 alkylsulfonyl, C1-6 alkoxycarbonyl, C1-6 alkylamino, C3-6 cycloalkylamino, C1-6 dialkylamino, C1-6 alkylaminocarbonyl, C1-6 acylamino, C1-6 dialkylaminocarbonyl, hydroxyl, halogen, cyano, nitro, oxo, heterocyclyl, aryl and heteroaryl, each substituent on R2 where possible is optionally halogenated or substituted with 1 to 3 C1-6 alkyl, C1-6 acyl, C1-6 alkyl sulfonyl, cyano, aryl, oxo or hydroxyl;
or R1 and R2 together with the nitrogen atom to which they are attached form a monocyclic, bicyclic or spirocyclic heterocycle or monocyclic or bicyclic heteroaryl ring each optionally substituted with 1 to 3 C1-6 alkyl, C1-6 alkoxy, C1-6 acyl, C1-6 alkyl sulfonyl, cyano, aryl, oxo, hydroxyl or halogen each ring substituent being further optionally halogenated where possible;
R3 and R4 are independently hydrogen or C1-6 alkyl optionally halogenated with the proviso that R3 and R4 cannot simultaneously be hydrogen; or R3 and R4 together with the carbon atom to which they are attached form a 3- to 6-membered cycloalkyl or heterocyclic ring each optionally halogenated;
R5 is aryl or 5- to 6-membered heteroaryl each substituted with 1 to 3 substituents chosen from C1-6 alkyl, heterocyclyl, C1-6 alkoxy, C3-6 cycloalkyl, aryloxy, halogen, cyano, dimethylamino C1-4alkyl, aryl, thienyl and pyridinyl;
each substituent on R5 is optionally halogenated or substituted with 1 to 3 C1-4 alkyl optionally halogenated;
or a pharmaceutically acceptable salt thereof.
each R2 substituent where possible is optionally halogenated or substituted with 1 to 3 C1-5 alkyl,
R3 and R4 each methyl optionally halogenated, or R3 and R4 together with the carbon atom to which they are attached form a cyclopropyl or cyclobutyl ring each optionally halogenated;
R5 is phenyl, naphthyl, pyridinyl, pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, triazolyl, oxadiazolyl or thiadiazolyl, each substituted with 1 to 3 substituents chosen from C1-6 alkyl, C1-6 alkoxy, C3-6 cycloalkyl, phenoxy, halogen, cyano, dimethylaminoC1-4 alkyl, phenyl, thienyl and pyridinyl, each substituent on R5 is optionally halogenated or substituted with 1 to 3 C1-4 alkyl optionally halogenated.
R3 and R4 are each methyl or ethyl, each optionally halogenated, or R3 and R4 together with the carbon atom to which they are attached form a cyclopropyl or cyclobutyl ring each optionally halogenated;
R5 is phenyl, naphthyl, pyridinyl, pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, triazolyl, oxadiazolyl or thiadiazolyl, each substituted with 1 to 3 substituents chosen from C1-6 alkyl, C1-6 alkoxy, C3-6 cycloalkyl, phenoxy, halogen, cyano, dimethylaminoC1-4 alkyl, phenyl, thienyl and pyridinyl, each substituent on R5 is optionally halogenated or substituted with 1 to 3 C1-4 alkyl optionally halogenated.
or R1 and R2 together with the nitrogen atom to which they are attached form a ring chosen from thiomorpholinyl, 1,1-dioxo-1λ6-thiomorpholinyl, morpholinyl, pyrrolidinyl, piperidinyl, azetidinyl, indolyl, indolinyl, isoindolyl, isoindolinyl, and 2-aza-spiro[4.5]dec-2-yl each optionally substituted with 1 to 3 C1-4 alkyl, C1-4 alkoxy and halogen each ring substituent being further optionally halogenated where possible;
R3 and R4 are each methyl or ethyl or R3 and R4 together with the carbon atom to which they are attached form a cyclopropyl or cyclobutyl ring;
or R1 and R2 together with the nitrogen atom to which they are attached form a ring chosen from thiomorpholinyl, 1,1-dioxo-1λ6-thiomorpholinyl, morpholinyl, pyrrolidinyl, piperidinyl, azetidinyl, indolyl and 2-aza-spiro[4.5]dec-2-yl each optionally substituted with 1 to 3 C1-3 alkyl, C1-3 alkoxy and halogen each ring substituent being further optionally halogenated where possible;
R5 is pyridinyl, triazolyl or isoxazolyl, each substituted with 1 to 2 substituents chosen from methyl, ethyl, tert-butyl, neopentyl, cyclohexyl, trifluoromethyl and phenyl which is optionally substituted with a chlorine atom.
R2 is C1-10alkyl, C3-10 cycloalkyl, heterocyclyl, benzyl, phenethyl, aryl or heteroaryl each optionally independently substituted with 1 to 3 substituents chosen from C1-6 alkyl, C3-10 cycloalkyl, C1-6 alkoxy, C1-6 alkylthio, C1-6 alkylsulfonyl, C1-6 alkoxycarbonyl, C1-6 alkylamino, C3-6 cycloalkylamino, C1-6 dialkylamino, C1-6 alkylaminocarbonyl, C1-6 acylamino, C1-6 dialkylaminocarbonyl, hydroxyl, halogen, cyano, nitro, oxo, heterocyclyl, aryl and heteroaryl, each substituent on R2 where possible is optionally halogenated or substituted with 1 to 3 C1-6 alkyl, C1-6 acyl, C1-6 alkyl sulfonyl, cyano, aryl, oxo or hydroxyl;
R3 and R4 are independently hydrogen or C1-6 alkyl optionally halogenated with the proviso that R3 and R4 cannot simultaneously be hydrogen; or R3 and R4 together with the carbon atom to which they are attached form a 3- to 6-membered cycloalkyl or heterocyclic ring each optionally halogenated;
R5 is aryl or 5- to 6-membered heteroaryl each substituted with 1 to 3 substituents chosen from C1-6 alkyl, heterocyclyl, C1-6 alkoxy, C3-6 cycloalkyl, aryloxy, halogen, cyano, dimethylaminoC1-4alkyl, aryl, thienyl and pyridinyl,
each substituent on R5 is optionally halogenated or substituted with 1 to 3 C1-4 alkyl optionally halogenated;
or a pharmaceutically acceptable salt thereof.
each R2 substituent where possible is optionally halogenated or substituted with 1 to 3 C1-5alkyl, C1-5 acyl, C1-6 alkyl sulfonyl, cyano, phenyl, oxo or hydroxyl;
R3 and R4 each methyl or ethyl, each optionally halogenated, or R3 and R4 together with the carbon atom to which they are attached form a cyclopropyl or cyclobutyl ring each optionally halogenated;
R5 is phenyl, naphthyl, pyridinyl, pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, triazolyl, oxadiazolyl or thiadiazolyl, each substituted with 1 to 3 substituents chosen from C1-6 alkyl, C1-6 alkoxy, C3-6 cycloalkyl, phenoxy, halogen, cyano, dimethylaminoC1-4 alkyl, phenyl, thienyl and pyridinyl, each substituent on R5 is optionally halogenated or substituted with 1 to 3 C1-4 alkyl optionally halogenated.
each R2 substituent where possible is optionally halogenated or substituted with 1 to 3 C1-5alkyl, C1-5 acyl, C1-6 alkyl sulfonyl, cyano, phenyl, oxo or hydroxyl;
R3 and R4 each methyl or ethyl, each optionally halogenated, or R3 and R4 together with the carbon atom to which they are attached form a cyclopropyl or cyclobutyl ring each optionally halogenated;
R5 is phenyl, naphthyl, pyridinyl, pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, triazolyl, oxadiazolyl or thiadiazolyl, each substituted with 1 to 3 substituents chosen from C1-6 alkyl, C1-6 alkoxy, C3-6 cycloalkyl, phenoxy, halogen, cyano, dimethylaminoC1-4 alkyl, phenyl, thienyl and pyridinyl, each substituent on R5 is optionally halogenated or substituted with 1 to 3 C1-4 alkyl optionally halogenated.
R3 and R4 each methyl or ethyl, or R3 and R4 together with the carbon atom to which they are attached form a cyclopropyl or cyclobutyl ring;
R5 is pyridinyl, pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, triazolyl, oxadiazolyl or thiadiazolyl, each substituted with 1 to 3 substituents chosen from C1-6 alkyl, C1-6 alkoxy, C3-6 cycloalkyl, phenoxy, halogen, cyano, dimethylaminoC1-4alkyl, phenyl thienyl and pyridinyl, each substituent on R5 is optionally halogenated or substituted with 1 to 3 C1-4 alkyl optionally halogenated.
R3 and R4 are each methyl;
R5 is pyridinyl, pyrazolyl, triazolyl, isoxazolyl, thiadiazolyl, oxadiazoyl or thiazolyl each substituted with 1 to 2 substituents chosen from, methyl, ethyl, iso-propyl, tert-butyl, iso-butyl, neopentyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, trifluoromethyl or phenyl which is optionally substituted with a chlorine atom.
TABLE I | |
A | B |
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wherein X in each case is halogen or CH3 optionally halogenated;
or a pharmaceutically acceptable salt thereof.
TABLE II | |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-(4-methoxy- phenylamino)-2-methyl-propionamide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-isopropylamino-2- methyl-propionamide |
| 2-sec-Butylamino-N-(5-tert-butyl-isoxazol-3-yl)-2- methyl-propionamide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-(isopropyl-methyl- amino)-2-methyl-propionamide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-morpholin-4-yl- isobutyramide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-cyclohexylamino- 2-methyl-propionamide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-(1,1-dioxo-1λ6- thiomorpholin-4-yl)-isobutyramide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-methyl-2- propylamino-propionamide |
| 2-Butylamino-N-(5-tert-butyl-isoxazol-3-yl)-2- methyl-propionamide |
| 2-Azetidin-1-yl-N-(5-tert-butyl-isoxazol-3-yl)- isobutyramide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-(3-methyl- piperidin-1-yl)-isobutyramide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-(2-methyl- pyrrolidin-1-yl)-isobutyramide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-(4-methyl- piperidin-1-yl)-isobutyramide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-thiomorpholin-4- yl-isobutyramide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-cyclopropylamino- 2-methyl-propionamide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-(2-methyl- piperidin-1-yl)-isobutyramide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-(4-methoxy- piperidin-1-yl)-isobutyramide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-piperidin-1-yl- isobutyramide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-pyrrolidin-1-yl- isobutyramide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-(4,4-difluoro- piperidin-1-yl)-isobutyramide |
| 2-Cyclohexylamino-2-methyl-N-(5-trifluoromethyl- pyridin-2-yl)-propionamide |
| 2-Azetidin-1-yl-N-(5-trifluoromethyl-pyridin-2-yl)- isobutyramide |
| 2-Pyrrolidin-1-yl-N-(5-trifluoromethyl-pyridin-2- yl)-isobutyramide |
| 2-Piperidin-1-yl-N-(5-trifluoromethyl-pyridin-2-yl)- isobutyramide |
| 2-(Isopropyl-methyl-amino)-2-methyl-N-(5- trifluoromethyl-pyridin-2-yl)-propionamide |
| 2-Isopropylamino-2-methyl-N-(5-trifluoromethyl- pyridin-2-yl)-propionamide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-(5-chloro-indol-1- yl)-isobutyramide |
| 2-(2-Aza-spiro[4.5]dec-2-yl)-N-(3-tert-butyl- isoxazol-5-yl)-isobutyramide |
| N-(3-tert-Butyl-isoxazol-5-yl)-2-methyl-2- [(tetrahydro-pyran-4-ylmethyl)-amino]- propionamide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-methyl-2- [(tetrahydro-pyran-4-ylmethyl)-amino]- propionamide |
| N-(3-tert-Butyl-isoxazol-5-yl)-2-methyl-2- (tetrahydro-pyran-4-ylamino)-propionamide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-methyl-2- (tetrahydro-pyran-4-ylamino)-propionamide |
| 2-Methyl-N-(5-phenyl-2H-1,2,4-triazol-3-yl)-2- [(tetrahydro-pyran-4-ylmethyl)-amino]- propionamide |
| 2-Methyl-N-(5-phenyl-2H-1,2,4-triazol-3-yl)-2- (tetrahydro-pyran-4-ylamino)-propionamide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-(4-chloro- phenoxy)-2-methyl-propionamide |
| N-(3-tert-Butyl-isoxazol-5-yl)-2-methyl-2- (tetrahydro-pyran-4-ylmethoxy)-propionamide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-methyl-2- (tetrahydro-pyran-4-ylmethoxy)-propionamide |
| N-(3-tert-Butyl-isoxazol-5-yl)-2-methyl-2- (tetrahydro-pyran-4-yloxy)-propionamide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-methyl-2- (tetrahydro-pyran-4-yloxy)-propionamide |
| 2-Methyl-N-(5-phenyl-2H-1,2,4-triazol-3-yl)-2- (tetrahydro-pyran-4-ylmethoxy)-propponamide |
| 2-Methyl-N-(5-phenyl-2H-1,2,4-triazol-3-yl)-2- (tetrahydro-pyran-4-yloxy)-propionamide |
| N-(3-tert-Butyl-isoxazol-5-yl)-2-methyl-2-(5- trifluoromethyl-pyridin-2-yloxy)-propionamide |
| N-(3-tert-Butyl-isoxazol-5-yl)-2-methyl-2-(4- trifluoromethyl-phenylamino)-propionamide |
| N-(3-tert-Butyl-isoxazol-5-yl)-2-[([1,4]dioxan-2- ylmethyl)-amino]-2-methyl-propionamide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-[([1,4]dioxan-2- ylmethyl)-amino]-2-methyl-propionamide |
| N-(3-tert-Butyl-isoxazol-5-yl)-2-methyl-2-(5- trifluoromethyl-pyridin-2-ylamino)-propionamide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-methyl-2-(5- trifluoromethyl-pyridin-2-ylamino)-propionamide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-[(4-chloro- benzenesulfonyl)-methyl-amino]-2-methyl- propionamide |
| N-(5-tert-Butyl-isoxazol-3-yl)-2-[(4-fluoro- benzenesulfonyl)-methyl-amino]-2-methyl- propionamide |
| N-[1-(5-tert-Butyl-isoxazol-3-ylcarbamoyl)-1- methyl-ethyl]-4-chloro-N-methyl-benzamide |
| 1,1-Dioxo-1λ6-thiomorpholine-4-carboxylic acid [1-(5-tert-butyl-isoxazol-3-ylcarbamoyl)-1-methyl- ethyl]-methyl-amide |
or a pharmaceutically acceptable salt thereof.
TABLE III | |
Compound | CB2 EC50 (nM) |
N-(5-tert-Butyl-isoxazol-3-yl)-2-(4-methoxy- | 8.7 |
phenylamino)-2-methyl-propionamide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-isopropylamino-2-methyl- | 100 |
propionamide | |
2-sec-Butylamino-N-(5-tert-butyl-isoxazol-3-yl)-2-methyl- | 177 |
propionamide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-(isopropyl-methyl- | 8.4 |
amino)-2-methyl-propionamide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-morpholin-4-yl- | 45 |
isobutyramide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-cyclohexylamino-2- | 9.5 |
methyl-propionamide | |
2-Butylamino-N-(5-tert-butyl-isoxazol-3-yl)-2-methyl- | 96 |
propionamide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-(3-methyl-piperidin-1-yl)- | 0.34 |
isobutyramide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-(2-methyl-pyrrolidin-1- | 24 |
yl)-isobutyramide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-(4-methyl-piperidin-1-yl)- | 2.6 |
isobutyramide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-thiomorpholin-4-yl- | 9.9 |
isobutyramide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-cyclopropylamino-2- | 235 |
methyl-propionamide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-(2-methyl-piperidin-1-yl)- | 1.2 |
isobutyramide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-(4-methoxy-piperidin-1- | 0.21 |
yl)-isobutyramide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-piperidin-1-yl- | 0.55 |
isobutyramide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-pyrrolidin-1-yl- | 23 |
isobutyramide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-(4,4-difluoro-piperidin-1- | 24 |
yl)-isobutyramide | |
2-Cyclohexylamino-2-methyl-N-(5-trifluoromethyl- | 469 |
pyridin-2-yl)-propionamide | |
2-Piperidin-1-yl-N-(5-trifluoromethyl-pyridin-2-yl)- | 127 |
isobutyramide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-(5-chloro-indol-1-yl)- | 0.22 |
isobutyramide | |
2-(2-Aza-spiro[4.5]dec-2-yl)-N-(3-tert-butyl-isoxazol-5- | 0.45 |
yl)-isobutyramide | |
N-(3-tert-Butyl-isoxazol-5-yl)-2-methyl-2-[(tetrahydro- | 14 |
pyran-4-ylmethyl)-amino]-propionamide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-(4-chloro-phenoxy)-2- | 2.4 |
methyl-propionamide | |
N-(3-tert-Butyl-isoxazol-5-yl)-2-methyl-2-(tetrahydro- | 8.1 |
pyran-4-ylmethoxy)-propionamide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-methyl-2-[(tetrahydro- | 125 |
pyran-4-ylmethyl)-amino]-propionamide | |
N-(3-tert-Butyl-isoxazol-5-yl)-2-methyl-2-(tetrahydro- | 29 |
pyran-4-ylamino)-propionamide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-methyl-2-(tetrahydro- | 35 |
pyran-4-ylamino)-propionamide | |
2-Methyl-N-(5-phenyl-2H-1,2,4-triazol-3-yl)-2- | 98 |
[(tetrahydro-pyran-4-ylmethyl)-amino]-propionamide | |
2-Methyl-N-(5-phenyl-2H-1,2,4-triazol-3-yl)-2- | 260 |
(tetrahydro-pyran-4-ylamino)-propionamide | |
N-(3-tert-Butyl-isoxazol-5-yl)-2-methyl-2-(4- | 1.1 |
trifluoromethyl-phenylamino)-propionamide | |
N-(3-tert-Butyl-isoxazol-5-yl)-2-methyl-2-(5- | 0.78 |
trifluoromethyl-pyridin-2-ylamino)-propionamide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-methyl-2-(5- | 20 |
trifluoromethyl-pyridin-2-ylamino)-propionamide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-[(4-chloro- | 0.36 |
benzenesulfonyl)-methyl-amino]-2-methyl-propionamide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-[(4-fluoro- | 0.13 |
benzenesulfonyl)-methyl-amino]-2-methyl-propionamide | |
N-[1-(5-tert-Butyl-isoxazol-3-ylcarbamoyl)-1-methyl- | 124 |
ethyl]-4-chloro-N-methyl-benzamide | |
1,1-Dioxo-1lambda*6*-thiomorpholine-4-carboxylic acid | 39 |
[1-(5-tert-butyl-isoxazol-3-ylcarbamoyl)-1-methyl-ethyl]- | |
methyl-amide | |
N-(3-tert-Butyl-isoxazol-5-yl)-2-methyl-2-(tetrahydro- | 8.1 |
pyran-4-ylmethoxy)-propionamide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-methyl-2-(tetrahydro- | 50 |
pyran-4-ylmethoxy)-propionamide | |
N-(3-tert-Butyl-isoxazol-5-yl)-2-methyl-2-(tetrahydro- | 107 |
pyran-4-yloxy)-propionamide | |
N-(5-tert-Butyl-isoxazol-3-yl)-2-methyl-2-(tetrahydro- | 123 |
pyran-4-yloxy)-propionamide | |
2-Methyl-N-(5-phenyl-2H-1,2,4-triazol-3-yl)-2- | 51 |
(tetrahydro-pyran-4-ylmethoxy)-propionamide | |
2-Methyl-N-(5-phenyl-2H-1,2,4-triazol-3-yl)-2- | 235 |
(tetrahydro-pyran-4-yloxy)-propionamide | |
N-(3-tert-Butyl-isoxazol-5-yl)-2-methyl-2-(5- | 0.1 |
trifluoromethyl-pyridin-2-yloxy)-propionamide | |
TABLE 1 | |||
Yield | m/z | ||
Structure | Name | [%] | [M + H+] |
|
2-Bromo-2- methyl-N-(5- phenyl-4H- [1,2,4]triazol-3- yl)-propionamide | 39 | 309/311 |
TABLE 2 |
Examples |
m/z | ||||
# | Structure | Name | [M +H+] | Method |
1 | | N-(5-tert-Butyl-isoxazol-3-yl)-2- (4-chloro-phenoxy)-2-methyl- propionamide | 337/339 | A |
2 | | N-(3-tert-Butyl-isoxazol-5-yl)-2- methyl-2-(tetrahydro-pyran-4- ylmethoxy)-propionamide | 325 | B |
3 | | N-(5-tert-Butyl-isoxazol-3-yl)-2- methyl-2-(tetrahydro-pyran-4- ylmethoxy)-propionamide | 325 | B |
4 | | N-(3-tert-Butyl-isoxazol-5-yl)-2- methyl-2-(tetrahydro-pyran-4- yloxy)-propionamide | 311 | B |
5 | | N-(5-tert-Butyl-isoxazol-3-yl)-2- methyl-2-(tetrahydro-pyran-4- yloxy)-propionamide | 311 | B |
6 | | 2-Methyl-N-(5-phenyl-2H-1,2,4- triazol-3-yl)-2-(tetrahydro-pyran- 4-ylmethoxy)-propionamide | 345 | B |
7 | | 2-Methyl-N-(5-phenyl-2H-1,2,4- triazol-3-yl)-2-(tetrahydro-pyran- 4-yloxy)-propionamide | 331 | B |
8 | | N-(3-tert-Butyl-isoxazol-5-yl)-2- methyl-2-(5-trifluoromethyl- pyridin-2-yloxy)-propionamide | 372 | B+ |
Experimental Procedures Formula (I)
Method C
TABLE 3 | |||
Yield | m/z | ||
Structure | Name | [%] | [M + H+] |
|
2-Bromo-N- (5-tert-butyl- isoxazol-3- yl)-2- methyl- propionamide | 97 | 289/291 |
|
2-Bromo-2- methyl- N-(5- trifluoro- methyl- pyridin-2-yl)- propionamide | 42 | 311/313 |
TABLE 4 |
Examples |
m/z | ||||
# | Structure | Name | [M + H+] | Method |
9 | | N-(5-tert-Butyl-isoxazol-3-yl)-2-(4- methoxy-phenylamino)-2-methyl- propionamide | 332 | C |
10 | | N-(5-tert-Butyl-isoxazol-3-yl)-2- isopropylamino-2-methyl- propionamide | 268 | C |
11 | | 2-sec-Butylamino-N-(5-tert-butyl- isoxazol-3-yl)-2-methyl- propionamide | 282 | C |
12 | | N-(5-tert-Butyl-isoxazol-3-yl)-2- (isopropyl-methyl-amino)-2-methyl- propionamide | 282 | C |
13 | | N-(5-tert-Butyl-isoxazol-3-yl)-2- morpholin-4-yl-isobutyramide | 296 | C |
14 | | N-(5-tert-Butyl-isoxazol-3-yl)-2- cyclohexylamino-2-methyl- propionamide | 308 | C |
15 | | N-(5-tert-Butyl-isoxazol-3-yl)-2-(1,1- dioxo-1□6-thiomorpholin-4-yl)- isobutyramide | 344 | C |
16 | | N-(5-tert-Butyl-isoxazol-3-yl)-2- methyl-2-propylamino-propionamide | 268 | C |
17 | | 2-Butylamino-N-(5-tert-butyl- isoxazol-3-yl)-2-methyl- propionamide | 282 | C |
18 | | 2-Azetidin-1-yl-N-(5-tert-butyl- isoxazol-3-yl)-isobutyramide | 266 | C |
19 | | N-(5-tert-Butyl-isoxazol-3-yl)-2-(3- methyl-piperidin-1-yl)-isobutyramide | 308 | C |
20 | | N-(5-tert-Butyl-isoxazol-3-yl)-2-(2- methyl-pyrrolidin-1-yl)- isobutyramide | 294 | C |
21 | | N-(5-tert-Butyl-isoxazol-3-yl)-2-(4- methyl-piperidin-1-yl)-isobutyramide | 308 | C |
22 | | N-(5-tert-Butyl-isoxazol-3-yl)-2- thiomorpholin-4-yl-isobutyramide | 312 | C |
23 | | N-(5-tert-Butyl-isoxazol-3-yl)-2- cyclopropylamino-2-methyl- propionamide | 266 | C |
24 | | N-(5-tert-Butyl-isoxazol-3-yl)-2-(2- methyl-piperidin-1-yl)-isobutyramide | 308 | C |
25 | | N-(5-tert-Butyl-isoxazol-3-yl)-2-(4- methoxy-piperidin-1-yl)- isobutyramide | 324 | C |
26 | | N-(5-tert-Butyl-isoxazol-3-yl)-2- piperidin-1-yl-isobutyramide | 294 | C |
27 | | N-(5-tert-Butyl-isoxazol-3-yl)-2- pyrrolidin-1-yl-isobutyramide | 280 | C |
28 | | N-(5-tert-Butyl-isoxazol-3-yl)-2-(4,4- difluoro-piperidin-1-yl)- isobutyramide | 330 | C |
29 | | 2-Cyclohexylamino-2-methyl-N-(5- trifluoromethyl-pyridin-2-yl)- propionamide | 330 | C |
30 | | 2-Azetidin-1-yl-N-(5-trifluoromethyl- pyridin-2-yl)-isobutyramide | 288 | C |
31 | | 2-Pyrrolidin-1-yl-N-(5- trifluoromethyl-pyridin-2-yl)- isobutyramide | 302 | C |
32 | | 2-Piperidin-1-yl-N-(5- trifluoromethyl-pyridin-2-yl)- isobutyramide | 316 | C |
33 | | 2-(Isopropyl-methyl-amino)-2- methyl-N-(5-trifluoromethyl-pyridin- 2-yl)-propionamide | 304 | C |
34 | | 2-Isopropylamino-2-methyl-N-(5- trifluoromethyl-pyridin-2-yl)- propionamide | 290 | C |
35 | | N-(5-tert-Butyl-isoxazol-3-yl)-2-(5- chloro-indol-1-yl)-isobutyramide | 360/362 | C |
36 | | 2-(2-Aza-spiro[4.5]dec-2-yl)-N-(3- tert-butyl-isoxazol-5-yl)- isobutyramide | 348 | C |
37 | | N-(3-tert-Butyl-isoxazol-5-yl)-2- methyl-2-[tetrahydro-pyran-4- ylmethyl)-amino]-propionamide | 324 | C |
38 | | N-(5-tert-Butyl-isoxazol-3-yl)-2- methyl-2-[(tetrahydro-pyran-4- ylmethyl)-amino]-propionamide | 324 | D |
39 | | N-(3-tert-Butyl-isoxazol-5-yl)-2- methyl-2-(tetrahydro-pyran-4- ylamino)-propionamide | 310 | E |
40 | | N-(5-tert-Butyl-isoxazol-3-yl)-2- methyl-2-(tetrahydro-pyran-4- ylamino)-propionamide | 310 | C |
41 | | 2-Methyl-N-(5-phenyl-2H-1,2,4- triazol-3-yl)-2-[(tetrahydro-pyran-4- ylmethyl)-amino]-propionamide | 344 | C |
42 | | 2-Methyl-N-(5-phenyl-2H-1,2,4- triazol-3-yl)-2-(tetrahydro-pyran-4- ylamino)-propionamide | 330 | C |
43 | | N-(3-tert-Butyl-isoxazol-5-yl)-2- methyl-2-(4-trifluoromethyl- phenylamino)-propionamide | 370 | C |
44 | | N-(3-tert-Butyl-isoxazol-5-yl)-2- [([1,4]dioxan-2-ylmethyl)-amino]- 2-methyl-propionamide 326 | 326 | C |
45 | | N-(5-tert-Butyl-isoxazol-3-yl)-2- [([1,4]dioxan-2-ylmethyl)-amino]-2- methyl-propionamide | 326 | C |
46 | | N-(3-tert-Butyl-isoxazol-5-yl)-2- methyl-2-(5-trifluoromethyl-pyridin- 2-ylamino)-propionamide | 371 | C |
47 | | N-(5-tert-Butyl-isoxazol-3-yl)-2- methyl-2-(5-trifluoromethyl-pyridin- 2-ylamino)-propionamide | 371 | C |
48 | | N-(5-tert-Butyl-isoxazol-3-yl)-2-[(4- chloro-benzenesulfonyl)-methyl- amino]-2-methyl-propionamide | 414 | F |
49 | | N-(5-tert-Butyl-isoxazol-3-yl)-2-[(4- fluoro-benzenesulfonyl)-methyl- amino]-2-methyl-propionamide | 398 | F |
50 | | N-[1-(5-tert-Butyl-isoxazol-3- ylcarbamoyl)-1-methyl-ethyl]-4- chloro-N-methyl-benzamide | 379 | F |
51 | | 1,1-Dioxo-1λ6-thiomorpholine-4- carboxylic acid [1-(5-tert-butyl- isoxazol-3-ylcarbamoyl)-1-methyl- ethyl]-methyl-amide | 401 | F |
Assessment of Biological Properties
-
- (i) Lung diseases: e.g. asthma, bronchitis, allergic rhinitis, emphysema, adult respiratory distress syndrome (ARDS), pigeon fancier's disease, farmer's lung, chronic obstructive pulmonary disease (COPD), asthma including allergic asthma (atopic or non-atopic) as well as exercise-induced bronchoconstriction, occupational asthma, viral- or bacterial exacerbation of asthma, other non-allergic asthmas and “wheezy-infant syndrome”, pneumoconiosis, including aluminosis, anthracosis, asbestosis, chalicosis, ptilosis, siderosis, silicosis, tabacosis and byssinosis;
- (ii) Rheumatic diseases or autoimmune diseases or musculoskeletal diseases: all forms of rheumatic diseases, especially rheumatoid arthritis, acute rheumatic fever, and polymyalgia rheumatica; reactive arthritis; rheumatic soft tissue diseases; inflammatory soft tissue diseases of other genesis; arthritic symptoms in degenerative joint diseases (arthroses); tendinitis, bursitis, osteoarthritis, traumatic arthritis; collagenoses of any genesis, e.g., systemic lupus erythematosus, scleroderma, polymyositis, dermatomyositis, Sjögren syndrome, Still disease, Felty syndrome; and osteoporosis and other bone resorption diseases;
- (iii) Allergic diseases: all forms of allergic reactions, e.g., angioneurotic edema, hay fever, insect bites, allergic reactions to drugs, blood derivatives, contrast agents, etc., anaphylactic shock (anaphylaxis), urticaria, angioneurotic edema, and contact dermatitis;
- (iv) Vascular diseases: panarteritis nodosa, polyarteritis nodosa, periarteritis nodosa, arteritis temporalis, Wegner granulomatosis, giant cell arthritis, atherosclerosis, reperfusion injury and erythema nodosum;
- (v) Dermatological diseases: e.g. dermatitis, psoriasis; sunburn, burns, eczema;
- (vi) Renal diseases: e.g. nephrotic syndrome; and all types of nephritis, e.g., glomerulonephritis; pancreatits;
- (vii) Hepatic diseases: e.g. acute liver cell disintegration; acute hepatitis of various genesis, e.g., viral, toxic, drug-induced; and chronically aggressive and/or chronically intermittent hepatitis;
- (viii) Gastrointestinal diseases: e.g. inflammatory bowel diseases, irritable bowel syndrome, regional enteritis (Crohns disease), colitis ulcerosa; gastritis; aphthous ulcer, celiac disease, regional ileitis, gastroesophageal reflux disease;
- (ix) Neuroprotection: e.g. in the treatment of neurodegeneration following stroke; cardiac arrest; pulmonary bypass; traumatic brain injury; spinal cord injury or the like;
- (x) Eye diseases: allergic keratitis, uveitis, or iritis; conjunctivitis; blepharitis; neuritis nervi optici; choroiditis; glaucoma and sympathetic ophthalmia;
- (xi) Diseases of the ear, nose, and throat (ENT) area: e.g. tinnitus; allergic rhinitis or hay fever; otitis externa; caused by contact eczema, infection, etc.; and otitis media;
- (xii) Neurological diseases: e.g. brain edema, particularly tumor-related brain edema; multiple sclerosis; acute encephalomyelitis; meningitis; acute spinal cord injury; trauma; dementia, particularly degenerative dementia (including senile dementia, Alzheimer's disease; Parkinson's disease and Creutzfeldt-Jacob disease; Huntington's chorea, Pick's disease; motor neuron disease), vascular dementia (including multi-infarct dementia) as well as dementia associated with intracranial space occupying lesions; infections and related conditions (including HIV infection); Guillain-Barre syndrome; myasthenia gravis, stroke; and various forms of seizures, e.g., nodding spasms;
- (xiii) Blood diseases: acquired hemolytic anemia; aplastic anemia, and idiopathic thrombocytopenia;
- (xiv) Tumor diseases: acute lymphatic leukemia; Hodgkin's disease, malignant lymphoma; lymphogranulomatoses; lymphosarcoma; solid malignant tumors; extensive metastases;
- (xv) Endocrine diseases: endocrine ophthalmopathy; endocrine orbitopathia; thyrotoxic crisis; Thyroiditis de Quervain; Hashimoto thyroiditis; Morbus Basedow; granulomatous thyroiditis; struma lymphomatosa; and Graves disease; type I diabetes (insulin-dependent diabetes);
- (xvi) Organ and tissue transplantations and graft-versus-host diseases;
- (xvii) Severe states of shock, e.g., septic shock, anaphylactic shock, and systemic inflammatory response syndrome (SIRS);
- (xviii) Acute pain such as dental pain, perioperative, post-operative pain, traumatic pain, muscle pain, pain in burned skin, sun burn, trigeminal neuralgia, sun burn; spasm of the gastrointestinal tract or uterus, colics;
- (xix) Visceral pain such as pain associated with chronic pelvic pain, pancreatitis, peptic ulcer, interstitial cystitis, renal colic, angina, dysmenorrhoea, menstruation, gynaecological pain, irritable bowel syndrome (IBS), non-ulcer dyspepsia, non-cardiac chest pain, myocardial ischemia;
- (xx) Neuropathic pain such as low back pain, non-herpetic neuralgia, post herpetic neuralgia, diabetic neuropathy, nerve injury, acquired immune deficiency syndrome (AIDS) related neuropathic pain, head trauma, painful traumatic mononeuropathy, toxin and chemotherapy induced pain, phantom limb pain, painful polyneuropathy, thalamic pain syndrome, post-stroke pain, central nervous system injury, post surgical pain, stump pain, repetitive motion pain, pain induced by post mastectomy syndrome, multiple sclerosis, root avulsions, postthoracotomy syndrome, neuropathic pain associated hyperalgesia and allodynia.
- (xxi) Inflammatory/nociceptive pain induced by or associated with disorders such as osteoarthritis, rheumatoid arthritis, rheumatic disease, teno-synovitis, gout, vulvodynia, myofascial pain (muscular injury, fibromyalgia), tendonitis, osteoarthritis, juvenile arthritis, spondylitis, gouty arthritis, psoriatic arthritis, muscoskeletal pain, fibromyalgia, sprains and strains, sympathetically maintained pain, myositis, pain associated with migraine, toothache, influenza and other viral infections such as the common cold, rheumatic fever, systemic lupus erythematosus;
- (xxii) Cancer pain induced by or associated with tumors such as lymphatic leukemia; Hodgkin's disease, malignant lymphoma; lymphogranulomatoses; lympho sarcoma; solid malignant tumors; extensive metastases;
- (xxiii) Headache such as cluster headache, migraine with and without aura, tension type headache, headache with different origins, headache disorders including prophylactic and acute use;
- (xxiv) various other disease-states or conditions including, restenosis following percutaneous transluminal coronary angioplasty, acute and chronic pain, atherosclerosis, reperfusion injury, congestive heart failure, myocardial infarction, thermal injury, multiple organ injury secondary to trauma, necrotizing enterocolitis and syndromes associated with hemodialysis, leukopheresis, and granulocyte transfusion, sarcoidosis, gingivitis, pyrexia. edema resulting from trauma associated with bums, sprains or fracture, cerebral oedema and angioedema, Diabetes such as diabetic vasculopathy, diabetic neuropathy, diabetic retinopathy, post capillary resistance or diabetic symptoms associated with insulitis (e.g. hypergiycemia, diuresis, proteinuria and increased nitrite and kallikrein urinary excretion).
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US20110190256A1 (en) | 2011-08-04 |
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